Organization Active NPI

A Medical Office, PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1699963033
Registry record updated Jul 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
A MEDICAL OFFICE, PLLC
Practice address
1811 Quentin Rd
#1H
Brooklyn, NY 11229-1343
Phone
(718) 336-3500
NPI assigned
Oct 10, 2007
Last updated
Jul 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Felix Gorohovsky
Title
Manager
Phone
(917) 714-3874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1811 Quentin Rd
#1H
Brooklyn, NY 11229-1343

Mailing address

17 Harmon St
Long Beach, NY 11561-2707
Phone (718) 336-3500

Other identifiers 1

IdentifierTypeStateIssuer
01867394MedicaidNY

National Provider Directory

National Provider Directory

Locations

1701 Avenue P
Brooklyn, NY 11229
Phone (718) 336-3500

1811 Quentin Rd
Apt 1H
Brooklyn, NY 11229
Phone (718) 336-3500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217030400000",
    "number": "1699963033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HARMON ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612707",
            "telephone_number": "718-336-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 QUENTIN RD",
            "address_2": "#1H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291343",
            "telephone_number": "718-336-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MEDICAL OFFICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2008-07-26",
        "status": "A",
        "authorized_official_last_name": "GOROHOVSKY",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-714-3874"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01867394",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.